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Zlom goleni - prva pomoč
ID Ćoralić, Ines (Author), ID Sazonov, Amalija (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: najpogostejši vzroki za zlom goleni so prometne nesreče, padec z višine, športne poškodbe in ostale vsakodnevne aktivnosti. Zlom je odvisen predvsem od treh dejavnikov – starosti poškodovanca, mehanične sile, ki povzroči zlom, in tega, ali gre za patološki zlom, ki je posledica bolezni. Pravilna oskrba in imobilizacija zloma goleni pripomoreta k zmanjšanju nastanka zgodnjih zapletov ter prispeveta k boljšemu in hitrejšemu zdravljenju. Namen: namen diplomskega dela je na teoretični ravni proučiti in osvetliti prvo pomoč pri poškodovancu z zlomom goleni. Metode dela: uporabljena je bila deskriptivna metoda s pregledom domače in tuje strokovne ter znanstvene literature s področja prve pomoči pri zlomu goleni. Razprava in sklep: pri zlomu goleni pride do zloma obeh kosti – golenice in mečnice. Zlom goleni delimo na zlom zgornjega, srednjega in spodnjega dela goleni, pri čemer je vedno prisotna oteklina z deformacijo uda. Večinoma zlom poškoduje tudi okolno mehko tkivo. Zaradi zloma goleni in nepravilne imobilizacije pride posledično do zgodnjih zapletov, med katere prištevamo: krvavitev, poškodbo žil in živcev, maščobno embolijo, utesnitveni sindrom, vensko trombozo, okužbo in šok. Resnost zloma je odvisna od odprtosti rane, njene kontaminacije in obsega poškodbe mehkega tkiva. Pri odprtem zlomu je najprej potrebna oskrba rane s sterilno gazo in povojem. Pravilna oskrba, prijem in pravilna imobilizacija so ključnega pomena pri prvi pomoči zloma goleni. Izurjeni reševalci uporabijo za imobilizacijo profesionalne pripomočke, medtem ko uporabijo laiki kar improvizirane pripomočke.

Language:Slovenian
Keywords:zapleti zlomov, oskrba zloma goleni, imobilizacija golena, imobilizacijski pripomočki
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2016
PID:20.500.12556/RUL-88482 This link opens in a new window
COBISS.SI-ID:5213547 This link opens in a new window
Publication date in RUL:07.01.2017
Views:8634
Downloads:1473
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Secondary language

Language:English
Title:Lower leg fracture - first aid
Abstract:
Introduction: The most frequent causes of the lower leg fracture are traffic accidents, a fall from a height, sport injuries and other daily activities. Fracture depends mainly on three factors – the age of the injured, mechanical power that caused the fracture and a pathologic fracture as a result of a disease. Proper care and immobilization of the fracture of the lower leg help to reduce the occurrence of early complications and contribute to better and faster treatment. Purpose: The purpose of the final exam paper is to study and explain on theoretical level administration of first aid to an injured with a lower leg fracture. Methods: We have used the descriptive method of work with a review of domestic and foreign professional and scientific literature related to the field of first aid related to the lower leg fracture. Discussion and conclusion: In the case of fraction of the lower leg, two bones are broken – the tibia and fibula. Fracture of the lower leg is divided into upper, middle and lower part of the leg, with constant presence of swelling and deformation of the limb. Mostly, the fracture also causes damage to the surrounding soft tissue. The fracture of the lower leg and improper immobilization consequently result in early complications such as: bleeding, damage to blood vessels and nerves, a fat embolism, impingement syndrome, deep vein thrombosis, infection and shock. Severity of fractures depends on the openness of the wound, its contamination and the extent of soft tissue injury. With an open fracture it is first necessary to supply wounds with sterile gauze and bandage. Proper handling, grip and proper immobilization constitute a key role in administering first aid in case of the fracture of the lower leg. Trained rescuers use professional tools for immobilization, while the laymen can use improvised tools.

Keywords:fracture complications, lower leg fracture handling, lower leg immobilization, immobilization tools

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